4 Manual Therapy Strategies

  1. Home
  2. Exercise Library
  3. 4 Manual Therapy Strategies

Muscle Energy Technique for the L Tensor Fascia Latae

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Hip EXT Firing Pattern, Muscle Energy, Supine Heel slide

Muscle Energy Technique for the L Tensor Fascia Latae

Muscle Energy Technique for the L Tensor Fascia Latae
  • Therapist’s right hand is placed over the lateral aspect of the L knee to stabilize the patella
  • Therapist’s left hand stabilizes the left ASIS
  • Femur is extended and externally rotated by the therapist’s R hand
  • Therapist adducts the subject’s leg until resistance is felt
  • Subject attempts to abduct the leg
  • Upon relaxation the therapist adducts the leg further
  • This is repeated 3-4 times

PA Mobilization of the Hip in Prone Crawl

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Mobilization, Supine Hip ABD and ER

PA Mobilization of the Hip in Prone Crawl

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Prone

PA Mobilization of the Hip in Prone Crawl

  • Patient is prone with hip flexed, abducted and ER
  • Therapist applies a lateral to medial glide to the hip working all along the hip to find the direction of the greatest restriction
  • PA glides are applied and can be graded from I to IV
  • This technique as pictured also
    mobilizes the right obturator nerve

Muscle Energy Technique for the Hip Adductors

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Muscle Energy, Supine Hip ABD and ER

Muscle Energy Technique for the Hip Adductors

Muscle Energy Technique for the Hip Adductors:

  • Once the hip joint is mobilized then the therapist can stretch the hip adductors with a series of contract/relax efforts
  • Therapist’s left hand stabilizes the pelvis and the right hand abducts the leg to the barrier.
  • Patient is instructed to gently pull the R knee down towards the table for 5-7 seconds.
  • Upon relaxation the therapist abducts the leg further to the new barrier and repeats 3 to 4 times.

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Mobilization, Supine Hip ABD and ER

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Lateral Recumbent

To mobilize the right hip:
Patient is left side lying with bottom leg flexed for stability. Therapist supports the patient’s right leg with his right hand and places the hypothenar eminence of the left hand on the greater trochanter of the hip. The leg is taken into abduction in various amounts of hip flexion while the therapist applies a lateral to medial glide to assess joint play. If a restriction is found, the therapist can mobilize in the direction of the greatest perceived restriction.

Rectus Femoris/ Femoral Nerve Mobilization : On/Off Flossing

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Manual Stretching, Mobilization, Supine Heel slide

Rectus Femoris/ Femoral Nerve Mobilization : On/Off Flossing

Rectus Femoris/ Femoral Nerve Mobilization : On/off flossing

  • Therapist stabilizes the right ischial tuberosity
  • Therapist passively flexes and extends the  knee on/off 10 times to the motion barrier
  • Therapist gradually increases the amount of knee flexion as resistance diminishes
  • Goal – heel to buttocks
 

Muscle Energy Technique for the Tensor Fascia Latae

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Muscle Energy

Muscle Energy Technique for the Tensor Fascia Latae

Muscle Energy Technique for the Tensor Fascia Latae

  • Therapist maintains firm contact on the right ischial tuberosity
  • Therapist’s right hand externally rotates the femur, extends the hip and then adducts the hip to the barrier
  • Subject is asked to abduct the hip for 5-7 seconds
  • Upon relaxation the therapist introduces
    further hip adduction to a new barrier
  • This is repeated 3-4 times
 

Muscle Energy Technique for the Iliopsoas

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Muscle Energy, Pelvic Clocks, Supine Curl Up, Supine Heel slide

Muscle Energy Technique for the Iliopsoas

Muscle Energy Technique for the Iliopsoas

  • Therapist blocks subject’s left foot with his left foot
  • Therapist stabilizes the right ischial tuberosity with his left hand and IR the femur with his right
  • Therapist then applies traction and lifts the hip into extension
  • Subject attempts to flex the hip for 5-7 seconds
  • Upon relaxation the therapist lifts the leg into further hip extension to a new barrier while maintaining IR of the femur
  • This is repeated 3-4 times
 

Anterior Hip Capsule Mobilization

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Mobilization, Rolling, Supine Heel slide

Anterior Hip Capsule Mobilization

Prone Hip Flexor Stretch Sequence: Anterior Hip Capsule Mobilization

  • Subject’s left foot is placed on the floor with lumbar spine side bent to the left and right leg in alignment with the trunk
  • Therapist flexes the right knee to assess free range and holds the knee flexed just short of end range
  • Therapist then applies a PA glide to the femur from medial to lateral to find the direction of the greatest restriction
  • The therapist then mobilizes the hip in a PA direction applying grade III to IV mobs for 1-2 minutes

TFL Self Stretch – Standing

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Self Stretch, Supine Heel slide

TFL Self Stretch – Standing

TFL Self Stretch – Standing

To Stretch the Right TFL:

  • The patient is instructed to place the right leg toed in (internally rotated) while keeping the hips square. Then they step over the right leg with the left leg.
  • Keeping the right foot flat on the floor the patient is instructed to shift the hips towards the wall as far as possible and attempt to rotate the pelvis to the right to externally rotate the right hip while maintaining internal rotation of the right tibia.
  • The patient should report feeling a stretch along the outside or lateral portion of the right hip/thigh.
  • They maintain the stretch for 30 seconds and repeat 2-3 times.
    Cart